Insitu Bone Graft Method for the Management of Tibia Fractures, Treated with External Fixatore

Introduction & Tibia fracture is the most common long bone fracture in adults and is specifically in motorcycle accidents; it is an open fracture which treated primarily with the external fixator. But, there is controversy about the continuation of this treatment until complete union of fracture site as far as costs, efficacy and complications are concered. 43 patients were studied. If after 4 months from application of external fixator, healing process was not satisfactory, bone graft from iliac crest was applied for stimulating the healing process and if necessary, at the same time the alignment and opposition of fragments were corrected and they were followed for 6 months. In 38 cases fracture union were seen after 6 months of follow up and without any complication, but in 2 cases we needed second bone graft procedure and in 3 cases there was of infection in the fracture site and we needed aggressive debridement and used another method for the treatment. It seems that because of good results and low costs and complications, insitu bone grafting is a suitable method for bone healing after the application of external fixators in tibia fracture.